Susan M Gordon, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1675 Issued in NH

Practice address

330 Portsmouth Ave
Greenland, NH 03840-2220

Phone

(603) 207-2197

Fax

(603) 377-8425

NPI assigned

Apr 8, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Little Bay Counseling, PLLC

  • Clinical Social Worker
  • Greenland, NH
  • NPI 1831915602
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1365379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1730522913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 PORTSMOUTH AVE # 304",
            "city": "GREENLAND",
            "state": "NH",
            "postal_code": "038409998",
            "telephone_number": "603-207-2197",
            "fax_number": "603-377-8425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 PORTSMOUTH AVE",
            "city": "GREENLAND",
            "state": "NH",
            "postal_code": "038402220",
            "telephone_number": "603-207-2197",
            "fax_number": "603-377-8425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "SUSAN",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-08",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "1675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3087480",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1730522913",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERIDIAN",
            "identifier": "110364",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordan Fusco
• Melissa H Gahr, PT
• Susan M Gallant Behan, O.D.
• Kathryn Gan, LMT
• Gentle Currents Acupuncture Clinic
• Greater Seacoast Community Health
• Greenland School District
• Jessica Marie Guillemette
• Amaryllis Elaine Hager, CNM, WHNP
• Netta Hart, L..AC. NCCA

• Clinical Social Worker in Greenland, NH
• Providers in Greenland, NH by specialty
• Clinical Social Worker in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.